Individual provider Active NPI

Maria R Wolfel, MS, RDN, LDN

  • Registered Dietitian
  • Clarks Summit, PA
National Provider Identifier
1275181372
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DN006756 Issued in PA
Practice address
421 S State St
Clarks Summit, PA 18411-1684
Phone
(570) 862-6092
NPI assigned
Sep 1, 2019
Last updated
Sep 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DN006756 PA Primary

Addresses

Primary practice location

421 S State St
Clarks Summit, PA 18411-1684

Mailing address

919 Martin Dr
Jessup, PA 18434-1717
Phone (570) 862-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104002055 PA Practitioner - Registered Dietitian Or Nutrition Professional 1658722533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

1243 S Cedar Crest Blvd
2800 LVPG Endocrinology
Allentown, PA 18103-6230
Phone (610) 402-6790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Dec 14, 2023 Accepting new patients
Family Care Centers Inc CurrentSince Feb 19, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Family Care Centers Inc. CurrentSince Feb 19, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Dec 14, 2023 Accepting new patients

Locations

1243 S Cedar Crest Blvd
Ste 2800
Allentown, PA 18103
Phone (610) 402-6790

179 Independence Rd
East Stroudsburg, PA 18301
Phone (570) 421-8526

179 Independence Rd
Ste 103
East Stroudsburg, PA 18301
Phone (570) 426-2330

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1275181372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MARTIN DR",
            "city": "JESSUP",
            "state": "PA",
            "postal_code": "184341717",
            "telephone_number": "570-862-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S STATE ST",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111684",
            "telephone_number": "570-862-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFEL",
        "first_name": "MARIA",
        "middle_name": "R",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-01",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.